MEDICARE: ANGEL O NWOCHIE NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	21899	CA

General Provider Information

NPI Number	:	1821341777
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGEL O NWOCHIE NP

Provider Business Mailing Address
First Line	:	1700 SANTA FE AVE
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90813-1200
Country	:	US
Telephone Number	:	323-359-8795
Fax Number	:	805-468-8072

Provider Business Practice Location Address
First Line	:	1700 SANTA FE AVE
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90813-1200
Country	:	US
Telephone Number	:	323-359-8795
Fax Number	:	805-468-8072

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/16/2012
Last Update Date	:	12/16/2025

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